Article Per Year (5 Year)
p-Index From 2020 - 2025
1.325
P-Index
This Author published in this journals
All Journal International Journal of Integrated Health Sciences Medical Journal of Indonesia The Indonesian Biomedical Journal Paediatrica Indonesiana Medicinus : Jurnal Kedokteran Neurologico Spinale Medico Chirurgico Jurnal Ilmu Bedah Indonesia
Julius July
Department Of Neurosurgery, Faculty Of Medicine, Pelita Harapan University, Neuroscience Center, Siloam Hospital Lippo Village, Tangerang, Banten
Biochemistry, Genetics & Molecular Biology Health Professions Immunology & microbiology Medicine & Pharmacology Neuroscience Public Health

Published : 27 Documents Claim Missing Document
Claim Missing Document
Check
Articles

Found 2 Documents
Search
Journal : Neurologico Spinale Medico Chirurgico

 1 
Surgery of Intramedullary Tumours Julius July
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Surgery still offers a cure to the majority of intramedullary tumours. The challenge of the surgery is taking out the tumour while preserving the function. Very often the patient has a huge tumour with very minimal symptoms, such as mild numbness. The slow growth of the tumour nature provides enough time for the cord fibres to adapt accordingly. Usually, the motor function is preserved and most of the pathologies are benign. For this reasons, the majority of cases have good long-term tumour control. The functional outcome is depending on the preoperative functional state, especially for motor function. The patient should be educated prior to surgery, especially to anticipate the post-surgical rehabilitation period. The surgical technique should preserve the motor function, but the fine movement usually gets worst for several months after surgery and slowly recover within 6 months. We share our experience of 45 surgical cases with intramedullary tumour (14F;31M), the pathologies distributions are 20 ependymomas, 8 astrocytomas (1/8 anaplastic astrocytoma), 7 cavernomas, 8 hemangioblastomas, 1 glioblastoma multiforme, and 1 tuberculoma. The location distribution varied from 27 at the cervical cord, 11 thoracal, 4 thoracolumbal, and 3 MO-upper cervical. The surgical outcome for all cases experienced sensory changes and recovered over 6 months. Almost all cases experienced some degree of spasticity and fine movement difficulty and they are improving over 6 months. Motor strength is usually preserved. One case of GBM, improve gradually for the first two months then followed by the disease course regardless of the treatment. The tuberculoma case required one year to recover her neurological function with adequate treatment.
Delayed Neurological Deficit after Traumatic Odontoid Fracture Yesaya Yunus; Julius July
Neurologico Spinale Medico Chirurgico Supplementary Issue - Conference Abstracts
Publisher : Indoscholar

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Fractures of the odontoid process can lead to gross instability of the atlantoaxial complex and present a significant risk for a potentially catastrophic spinal cord injury. Type II odontoid fractures are the most common odontoid fractures and are unstable that may displace anteriorly or posteriorly. If left untreated, the patient may develop atlantoaxial dislocation that causes neurological deficit also progressive myelopathy. We described the surgical management of four patients with a delayed neurological deficit after odontoid fracture with a history of trauma and after triggered by traditional massage. Traction several days before operation applied to achieve reduction of atlantoaxial dislocation. Posterior instrumentation and correction of atlantoaxial dislocation were performed with interarticular screw fixation (Harm technique) in all of the patients. All of the four patients showed a reduction of the atlantoaxial dislocation and also a neurological improvement. Cervical traction followed by posterior instrumented correction may be an effective alternative to treating delayed neurological deficits after traumatic odontoid fracture.
Co-Authors Abhijit Guha Achmad Chumaidi Achmad Chumaidi, Achmad Ahmad Faried Alexander Cahyadi, Alexander Anak Agung Istri Sri Wiadnyani Andi A. Islam Andi Asadul Islam As’ad, Suryani Beny Atmadja Wirjomartani Bilzardy Ferry Budhianto Suhadi Dermawan, Kevin Dong seok Lee Eka J. Wahjoepramono Harahap, Agnes S. Harsono, Ivan William Irawan Yusuf Ivan William Harsono Kristiani, Erna Lekatompessy, Michael Lucia Herminawati Lucia Herminawati, Lucia Maria F. Ham Marisca, Stephanie Mira Yuniarti Muhammad Zafrullah Arifin Nathania Victoria Stevina Novita Tirtaprawita Priscilla Muliantara Sophie Peeters Stevina, Nathania Victoria Suharyani, Sally Susanto, Eka Sutisna Himawan Tirtaprawita, Novita Tjahjadi, Hartono Uranus, Hans Christian Veli Sungono Vivien Puspitasari, Vivien Widjaya, Ingrid A Widodo, Stephanie T. Widyakrisna, Albertus Boyke Raditya Wiradharma Wiradharma Wiradharma Wiradharma, Wiradharma Yesaya Yunus Yesaya Yunus Yesaya Yunus